DR. JAMES WARNER NETTLETON MD PHD NPI 1043219892

NPI Information

NPI: 1043219892
Provider Name: DR. JAMES WARNER NETTLETON, MD PHD
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
123 S BROAD ST
22 FLOOR
PHILADELPHIA, PA
ZIP 19109
Phone: (215) 546-0300
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DR. James Warner Nettleton, MD PHD is an intellectual and developmental disabilities in Philadelphia, PA. DR. James Warner Nettleton, MD PHD NPI is 1043219892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

123 S BROAD ST
22 FLOOR
PHILADELPHIA, PA
ZIP 19109-029
Phone: (215) 546-0300
Fax: (215) 790-4989

The enumeration date for this NPI number is 7/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	MD024965E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	NE728925	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	F31844	MEDICARE UPIN
3	01676580	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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